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- W2980690664 abstract "Video Objective The purpose of this video is to demonstrate mini-laparoscopic tubal reanastomosis procedure. Setting This is the case of 38 year old multiparous woman, G2P2, after 2 caesarean sections and Pomeroy tubal ligation. She presented to our center with high desire of pregnancy. She had no comorbidities, preoperative work-up exams were normal. She underwent minilaparoscopic tubal reanastomosis. Interventions In this procedure we used 6mm optical trocar with 5mm zero degrees endoscope and additional three 3mm trocars. One placed suprapubicaly and two laterally. Tubal stumps were identified. One polyglactine 2/0 suture was placed at the level of mesosalpinx, to approximate the proximal and distal stumps and reduce tissue tension. Mesosalpinx was infiltrated with diluted vasopressin for hydrodisection and prevention of bleeding. Scar tissue in the mesosalpinx and tubal stumps was resected by using grasper and cold scissors. Proximal and distal stumps were transected at the point of obstruction and tubal opening was identified. Finally, the muscle layer of the two stumps was sutured with four simple interrupted sutures using a poliglycaprone 4/0 suture by placing it at three, six, nine and twelve o`clock. Contralateral tube was operated in the same manner. Conclusion Minilaparoscopy is a feasible and safe approach for tubal reanastomosis." @default.
- W2980690664 created "2019-10-25" @default.
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- W2980690664 date "2019-11-01" @default.
- W2980690664 modified "2023-09-27" @default.
- W2980690664 title "2442 Tubal Reanastomosis: Complete Minilaparoscopic Approach" @default.
- W2980690664 doi "https://doi.org/10.1016/j.jmig.2019.09.201" @default.
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